Heliyon (Jun 2020)

Severe CIDP-MGUS responsive to Rituximab

  • Andreas Posa,
  • Alexander Emmer,
  • Malte Kornhuber

Journal volume & issue
Vol. 6, no. 6
p. e04230

Abstract

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Chronic inflammatory demyelinating polyneuropathy (CIDP) is a relatively rare disease with progressive limb weakness and sensory loss. A few patients show a severely progressing course without major response to intravenous immunoglobulin or plasma exchange therapy. CIDP-MGUS (monoclonal gammopathy of undetermined significance) is a seldom CIDP variant that has been rarely addressed in therapeutic studies. In the presented CIDP-MGUS case, B cell depletion with rituximab had a favourable effect on the disease course, clinically and in nerve conduction studies.

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